Provider Demographics
NPI:1386257764
Name:HIGGS, KATIE LEE (MASTERS)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LEE
Last Name:HIGGS
Suffix:
Gender:F
Credentials:MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:698 N 100 E
Mailing Address - Street 2:
Mailing Address - City:SANTAQUIN
Mailing Address - State:UT
Mailing Address - Zip Code:84655-7089
Mailing Address - Country:US
Mailing Address - Phone:385-495-7726
Mailing Address - Fax:
Practice Address - Street 1:822 S 1040 W
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:UT
Practice Address - Zip Code:84651-4614
Practice Address - Country:US
Practice Address - Phone:801-609-2448
Practice Address - Fax:801-609-2447
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT11407353-3904106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist